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06.2021 Life Guide

whether kidney disease patients can eat rice dumplings or not.

Nutrition Department of Far Eastern Memorial Hospital / nutritionist Su Xiaoyuan
370J01        Every Dragon Boat Festival, every household is busy purchasing or DIY all kinds of dumplings, such as southern dumplings, northern dumplings, rice dumplings, alkali dumplings, etc. from time to time, there are also innovative tastes on the market, but for patients with chronic kidney disease or renal failure, the choice of dumplings is much more complex than the general people.

        370J02        First of all, we must first understand the dietary principles of kidney patients, and then study the hand of zongzi in the end wrapped what? As long as you master the key points such as "see the food composition clearly", "low phosphorus, potassium and sodium", "calculate protein" and "match vegetable food", kidney patients can have a happy meal.

        Pay attention to nutrition label and food composition

        There are many kinds of Zongzi on the market, and the contents are also very different, which can be roughly divided into the following types--

          Northern rice dumplings: stir fried glutinous rice with oil, and then wrapped with stuffing, steamed leaves, similar to oil rice, high heat.

          Southern rice dumplings: after wrapping raw glutinous rice and stuffing into the leaves of rice dumplings, they are boiled in water. Due to the boiling method, the potassium content is low.

        Rice dumplings   The glutinous rice is ground into glutinous rice dough, and then added into preserved rice. After steamed, it is usually smaller in weight and lower in heat than northern and southern rice dumplings. However, due to the high salt content of preserved rice, it is recommended that kidney patients choose fresh sliced radish or stir fried meat with bamboo shoots.

        Alkaline rice dumplings   The ancient early flavor "alkaline rice dumpling" itself uses sodium trimetaphosphate (promenone), which can also be packed with red bean stuffing, resulting in an increase in phosphorus content. Therefore, it is not recommended for kidney patients.

        Ice dumplings (crystal dumplings)    The outer skin is made of glutinous rice, cold weather or kudzu powder, and the rice dumpling skin is edible; The inner stuffing is peeled sweet potato and taro, which is better than red bean and mung bean.

        In addition, it is suggested that kidney patients should try their best to choose dumplings made of natural food materials and avoid products containing food additives such as sodium metaphosphate, sodium phosphate, disodium hydrogen phosphate, sodium polyphosphate, sodium pyrophosphate and sodium triphosphate.

        On the other hand, nutrition labeling is also an important reference. In addition to calories, the calculation of protein and sodium content should not be ignored. For kidney patients with diabetes, carbohydrate can be used to calculate carbohydrate intake. A portion of protein food contains about 7g of protein. For those who have not dialysis and kidney washing, 1-1.5 portions of a meal is recommended; If you have received dialysis, you can increase it to 2 servings. Please consult your nutritionist for details.

                Choose low phosphorus, potassium and sodium

        Low phosphorus   Many people think that five grain rice dumplings are more healthy than glutinous rice dumplings, but in fact, the content of phosphorus in cereals and beans is on the high side. Patients with chronic kidney disease have impaired the function of "eliminating phosphorus" and should avoid it as far as possible. Because of the frequent use of sodium trimetaphosphate (promethasone), rice dumplings belong to inorganic phosphorus. Compared with organic phosphorus in natural food, they are more likely to cause high blood phosphorus and are not recommended for consumption. It is suggested to choose Southern boiled white glutinous rice dumplings, Hakka rice dumplings or crystal rice dumplings (carefully choose the stuffing), and avoid high phosphorus foods, including cereals, beans, nuts, such as peanuts, mung beans, chestnuts, Coix, lotus seeds, egg yolks, sesame, chestnuts, etc.

        Hypokalemia  「 Potassium is usually found in raw and natural foods. Most of it can be removed by shredding, boiling and then cooking. Therefore, southern boiled rice dumplings, or rice dumplings filled with fresh shredded radish, chopped bamboo shoots, and Diced Pork with Pleurotus eryngii, can reduce the intake of potassium and sodium, and avoid processed condiments as far as possible, such as low sodium salt, cooking master or condiments with extracts.

        Hyponatremia   As the name suggests, it is to reduce the salt content. For example, don't stir fry glutinous rice into soy sauce. Try to choose natural ingredients such as mushrooms, bamboo shoots, carrots, etc. to reduce the consumption of preserved vegetables, sausages, bacon, ham and other processed foods with high salt content, and use red onions, garlic, mushrooms and other ingredients instead of seasoning sauce, which can reduce a lot of salt content.

        Calculate protein

        Foods with high protein content include pork, scallops, squid, egg yolk, bean curd skin, dried beans, etc. the protein content of commercially available foods can be calculated through the nutrition label on the package. For home-made foods, the "finger" can be used to estimate the weight. Usually, the three fingers (index finger, middle finger, ring finger) are combined for about one or two, On average, a portion of zongzi contains about half to one liang of bean fish, meat and eggs.

        Take the amount recommended by the nutritionist

        Generally, a table salty rice dumpling contains about 60-90 grams of carbohydrates (equivalent to 1-1.5 bowls of rice). It is recommended that kidney patients choose "medium" or "small" portions of rice dumplings. In addition, zongzi should be regarded as a dinner, not a snack, because a zongzi is equivalent to a bowl of rice with 1-2 portions of meat and 1-2 portions of fat, which is about the heat of a meal for adults. It is recommended to eat one zongzi at a meal, and avoid eating it every day, leading to indigestion.

        With vegetables

        Every meal must be accompanied by enough (at least half a bowl) of vegetables. At the same time, in order to avoid excessive potassium intake, a large number of lettuce should be avoided in the way of cooking. You can prepare Sichuan hot cold cucumber, green vegetables, bamboo shoot soup, radish soup, etc. to increase the sense of satiety. It is worth noting that kidney patients who have been told by doctors to limit water and potassium should not drink soup, while those who need to limit potassium should choose low potassium fruits such as grapes, wax apple, and no more than one bowl per meal.

        Smart selection of homemade zongzi materials

        Hakka rice dumpling recipe (10 people)

        Material Science:

        1. Dough materials: glutinous rice flour 500g, rice flour 100g, sugar 30g, water.

        2. Filling materials: white radish 600g, dried mushroom 80g, ground meat or diced meat 300g, shrimp 10g, a little pepper, a little salt, a little soy sauce.

        do   Method:

        Slowly add warm water into the dough, mix well and knead into a ball. Grab 150 grams of them and put them into boiling water. Remove them after the dough floats. Mix in the remaining dough and knead well. Divide them into 10 parts and apply a little oil.

        Add oil and saute mushrooms and dried shrimps until fragrant. Stir in shredded white radish. Add water and stir fry until done. Remove water to remove potassium ion. Stir fry all fillings and put them into dough.

        Put the stuffing dough into the bamboo leaves, tie tightly with the rice dumpling thread, and steam for 25 minutes in the steamer.

        In the face of festivals and gatherings, it is suggested that patients with chronic kidney disease should still control their diet and just taste it, so as to maintain a balanced nutrition and have a healthy and burden Free Dragon Boat Festival!

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